Résumé :
|
Thirty years ago, when I began attending home births, I attended the birth of a very educated, as well as instinctive, woman. She delivered her baby in a squatting position, and as is normal, immediately sat down to hold her baby. However, a few minutes later, she got into the squatting position again,to deliver her placenta. I was a young Certified Nurse Midwife and my training recommended that women lay down to deliver the placenta, so I recommended that she sit down. She listened to me obediently. Many placentas will deliver in sitting but hers did not. Home midwives are taught that if the placenta does not deliver after 30 minutes of trying, it is time to transfer to hospital.After 25 minutes, I told her to try whatever she wanted to get the placenta out, since in five minutes we would have to transfer to hospital. She got into a squat and in 30 seconds, to my great relief, the placenta came out complete with very little blood.A lightbulb lit in my head. I now know that delivering the placenta in squatting by five minutes postpartum results in the least postpartum bleeding and eliminates postpartum haemorrhage of over 500 cc.
|